Provider Demographics
NPI:1205588316
Name:ACCU HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:ACCU HOMECARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANELL
Authorized Official - Middle Name:
Authorized Official - Last Name:CROOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-417-9966
Mailing Address - Street 1:5419 BOWER AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-3047
Mailing Address - Country:US
Mailing Address - Phone:724-417-9966
Mailing Address - Fax:267-293-5341
Practice Address - Street 1:5419 BOWER AVE
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-3047
Practice Address - Country:US
Practice Address - Phone:724-417-9966
Practice Address - Fax:267-293-5341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA65283601Medicaid
PA65283601OtherDEPARTMENT OF HEALTH